PAINTED HALOS LLC NPI 1790565950

NPI Information

  • NPI: 1790565950
  • Provider Name: PAINTED HALOS LLC
  • Classification: Specialist/Technologist, Other - 246Z00000X
  • Entity Type: Organization
  • Address: 3615 W PIONEER PKWY STE E
    PANTEGO, TX
    ZIP 76013
  • Phone: (817) 437-0312

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NPI Details

PAINTED HALOS LLC is a specialist technologist other in Pantego, TX. The provider is general classification identifying individuals trained on specific equipment and technical procedures in one of a collection of miscellaneous healthcare disciplines. PAINTED HALOS LLC NPI is 1790565950. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3615 W PIONEER PKWY STE E
PANTEGO, TX
ZIP 76013-518
Phone: (817) 437-0312

The provider's authorized official is Teri Holseberg .
The authorized official title is Owner and has the following contact phone number (817) 437-0312.

The enumeration date for this NPI number is 10/4/2023 and was last updated on 10/4/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1246Z00000XSpecialist/Technologist, OtherYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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